Mount Rainier National Park

Solo Climb Request

 

Please print legibly

 

Name:______________________________________            Age:_____

 

Address:____________________________________            Route(s): _____________________

              ____________________________________                          ______________________

                  ___________________________________________       Dates: ________________________

 

Phone:____________________Fax:_________________            E-mail:_______________________

 

Have you ever been approved to solo on Mt. Rainier before?  ________            

If yes, when:_________________                Route(s):_________________________________

 

Qualifying Experience:

Please list previous experience on glaciated peaks.  Climbs involving glacier travel, altitude, and inclement weather will be viewed with favor.

 

Peak	Range	Route	Rating	Year	Lead, Follow, Swap Lead, Solo

 

Other glacier travel and crevasse rescue experience: ___________________________________

 

_____________________________________________________________________________

 

Solo climbing experience: ________________________________________________________

 

_____________________________________________________________________________

 

Multi-day winter backcountry experience: ___________________________________________

 

_____________________________________________________________________________

 

Methods of self belay:  __________________________________________________________

_____________________________________________________________________________

Methods of self rescue from a crevasse: _____________________________________________ _____________________________________________________________________________

Plan for self rescue if overdue: ____________________________________________________

_____________________________________________________________________________

 

I understand that solo climbing in glaciated terrain greatly increases the possibility of injury or death and I acknowledge and accept that risk. I, alone, am responsible for my own safety.  I certify that the above statements are true and correct to the best of my knowledge.

 

Name (print):  ____________________Sign:  _____________________  Date: ________

 

NOTICE:  Approved solo climbers must register with rangers and pay the climbing cost recovery fee prior to departing.

       Approval of a solo request in no way constitutes a recommendation by the NPS to solo.

 

Please return form to:  Mount Rainier National Park

                                                Solo Climb Request

                                                Attn: Paradise Climbing Rangers

                                                Tahoma Woods, Star Route

                                                Ashford, WA  98304

 

Or Fax to: 360-569-2711

 

Or complete this form, paste it into an e-mail and send to: mora_paradise_climbing_rgrs@nps.gov

 

PLEASE ALLOW FOR ONE WEEK PROCESSING TIME ONCE WE RECEIVE YOUR FORM

 

Office use only:

Date received: ­_______________   Climbing Ranger reviewing form:  __________________________________________   Comments:  ____________________________________________________________ ______________________________________________________________________   APPROVED (YES / NO) _________                                                  Date: ______________   Notification sent via  (PHONE / E-MAIL / FAX) __________          Date: ______________   If approved, entered into solo database:                                               Date: ______________   Acknowledged: ___________________________________  Date _________________                            Supervisory Climbing Ranger

 

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